HomeMy WebLinkAbout5307 MYRTLE DRIVE, FORT PIERCE, FL 34982 PERMIT APPLICATIONAll APPLICABLE INFO MUST SE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10121/2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: WATER HEATER REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 5307 MYRTLE DRIVE, FORT PIERCE, FL 34982
Property Tax ID #: 3402-608-0299-000-1
Site Plain Name: INDIAN RIVER ESTATES UNIT 07 MAP ID (34102S)
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALLING A LIKE KIND WATER HEATER, 40 GALLON ELECTRIC IN LAUNDRY ROOM
New Electrical Meter NIA Second Electrical MeterNlA
CONSTRUCTION INFORMATION:
Lot No. 43
Block No. 48
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank __.. Gas Piping _ Shutters _ Windows/Doors Pond
_ Electric — Plumbing --_- Sprinklers
Total Sq. Ft of Construction: N/A
Cost of Construction: $ 2300.00
Generator _ Roof Pitch
Sq. Ft. of First Floor: NIA
Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL LALONDE
Name: MATTHEW BLACK
Address: 5307 MYRTLE DRIVE
i Company: BENJAMIN FRANKLIN PLUMBING
City: FORT PIERCE State: _
Address:5945 NW LTC PARKWAY
Zip Code: 34982 Fax: 772-871-9069
City: PORT SAINT LUCIE State: FL
Phone Na. 772-871-9494
Zip Code:. 34986 Fax: 772-871-9069
E-Mail:PERMITS@BENFRANKLINPLUMBER.COM Phone No 772-871-9494
Fill in fee simple Title Holder on next page ( if different E -Mail PERMITS@BENFRANKLINPLUMBER.COM
from the Owner listed above) State or County License CFC -1 430437
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: NIA
Name: N/A
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name. NIA
Nzme: N/A
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Halder
STATE OF FLORIDA %/ � STATE OF FLORIDA
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